How Much Does Management of an Asthma-Related Event Cost in a Malaysian Suburban Hospital?

Value in Health Regional Issues
Yee Vern Yong, Asrul Akmal Shafie

Abstract

Patients with asthma need long-term management to maintain optimal control. In addition to routine maintenance, urgent visits and hospitalizations may be required, as these patients are prone to acute exacerbations. The aim of this study was to estimate the costs of maintenance and acute exacerbation managements in patients with asthma in a suburban public hospital in Malaysia. An activity-based microcosting approach was applied to estimate the unit cost of events from the hospital's perspective. First, activities and resources that were involved in each cost center were identified and valued against a suitable form of unit. Thereafter, the mean cost of each resource per event was calculated by dividing the product of the quantity of the resource used and the unit cost of the resource by the number of events. The mean cost per event was the sum of the cost of resources for all cost centers involved. The costs were expressed in 2014 US dollars ($) and Malaysian Ringgit (RM). Data were collected from 15 maintenance, 20 acute exacerbation, and 50 hospitalization events. The mean (±SD) cost of maintenance management was $48.04 (±10.10); RM154.68 (±32.52). The cost of acute exacerbation management in the Emergency Department was $13...Continue Reading

References

Jul 3, 1999·American Journal of Respiratory and Critical Care Medicine·R StanfordL J Okamoto
Mar 15, 2008·The European Journal of Health Economics : HEPAC : Health Economics in Prevention and Care·S S TanL Hakkaart-van Roijen
May 21, 2009·BMC Pulmonary Medicine·Katayoun BahadoriJ Mark FitzGerald
Mar 13, 2014·Journal of Biomedical Informatics·Marcelo LopeteguiPhilip Payne
May 13, 2014·PloS One·Gregoire Mercier, Gerald Naro
Jan 13, 2015·Pharmacy Practice·Yee V Yong, Asrul A Shafie

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